Sample Record

DIME Sample ID 2023-04-30-6

Project Information

Project IdentifiersProject ID: 215109
DEA: 081C8504
EFIS: 0813000047
DIST-CO-RTE-PM08-RIV-74-0.0/5.8
Award Date11/12/2020
Closeout Date06/02/2025
Work DescriptionROADWAY EXCAVATION, HOT MIX ASPHALT, AND STRUCTURAL SHOTCRETE WALLS.
Location DescriptionRIVERSIDE COUNTY NEAR LAKE ELSINORE FROM ORANGE COUNTY LINE TO MONTE VISTA STREET
QA Service Level1 (Verified on 02/24/2021)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date04/30/2023 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testing05/08/2023 Sample typeVerification
A brief description of the samplePSUE 3/4" HMA-A-SP The quantity of what the sample constitutes4 Bags of Agg., 2 Bags of RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byEduardo
Last name of sampler or witnessed byGomez Title of sampler
Telephone number of sampler Laboratory sample identification0240A-23
Linked DIME Sample ID The fabricator/manufacturer/facility nameCalifornia Commercial Asphalt - Lake Elsinore
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-33-0098
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedManufacturer
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number53417615 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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